Indiana
Professional Licensing Agency
Jill Marie Fougerousse
Dental Hygienist
License number
13004023A
Date granted
06/28/1996
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Linton IN 47441
indianalicensing.org
ID 5219351
LAST UPDATED 2024-04-11 05:27:14 UTC
LAST UPDATED 2024-04-11 05:27:14 UTC
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